Telehealth applied to physical activity during cancer treatment: a feasibility, acceptability, and randomized pilot study
- 339 Downloads
Previous studies have underlined the benefits of exercise during cancer therapy. However, patients are insufficiently active during treatment. Telehealth is used to encourage people to be active, reducing difficulties and offsetting the lack of infrastructure often reported. We aimed to identify the effects of recommendations and telehealth on the level of physical activity, fatigue, and quality of life.
Sixty patients suffering from various cancers under treatment were randomized into two groups. Every Sunday, they had to complete online questionnaires: number of steps, MFI-20, and EORTC-QLQ-30. Group R (recommendations) was given encouragement to improve physical activity during 8 weeks, using a recommendation guide, and received a weekly SMS text message for exercise promotion. Group C, without recommendations, was the control group.
Two-way ANOVAs for repeated measures did not reveal effect on the number of steps walked over time; however, the results indicated a beneficial effect for group R related to self-reported fatigue (F = 2.686, p = .01) and quality of life (F = 2.431, p = .02).
Surprisingly, the level of exercise in group R did not significantly increase, but self-reported fatigue and quality of life were improved. This study underlines that inexpensive sharing of time, human, and financial means, through a protocol of physical activity, improves patient health.
KeywordsExercise Telemedicine Quality of life Fatigue Physical activity
This research was supported by Laboratoire ROCHE (Ph.D Grant of C. Villaron), IPC (SIRIC–INCa–DGOS–Inserm 6038) and the Aix-Marseille University Foundation.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- 2.INCA (2012) Activity Physique et Cancer. La lettre de l’IncaGoogle Scholar
- 5.Mishra SI, Scherer RW, Geigle PM, et al (2012) Exercise interventions on health-related quality of life for cancer survivors. Cochrane Database Syst RevGoogle Scholar
- 9.INCA (2017) Bénéfices de l’activité physique pendant et après cancer, des connaissances scientifiques aux repères pratiques – SynthèseGoogle Scholar
- 12.Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, Filiberti A, Flechtner H, Fleishman SB, Haes JCJM, Kaasa S, Klee M, Osoba D, Razavi D, Rofe PB, Schraub S, Sneeuw K, Sullivan M, Takeda F (1993) The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 85:365–376CrossRefPubMedGoogle Scholar
- 14.Simon A (2003) Cancer and fatigue. Med Pal 2:14–22Google Scholar
- 15.Bandura A (1986) Social foundations of thought and action: a social cognitive theory. Prentice-Hall, Englewood CliffsGoogle Scholar
- 16.Haas B (2002) Fatigue, self-efficacy for physical activity, physical activity, and quality of life in women with breast cancerGoogle Scholar
- 17.Rondier M (2004) A. Bandura. Auto-efficacité. Le sentiment d’efficacité personnelle. Orientat Sc Prof 475–476Google Scholar
- 19.Hoffman AJ, von Eye A, Gift AG, Given BA, Given CW, Rothert M (2009) Testing a theoretical model of perceived self-efficacy for cancer-related fatigue self-management and optimal physical functional status. Nurs Res 58:32–41. https://doi.org/10.1097/NNR.0b013e3181903d7b CrossRefPubMedPubMedCentralGoogle Scholar
- 23.Hoffman AJ, Brintnall RA, Brown JK, Eye AV, Jones LW, Alderink G, Ritz-Holland D, Enter M, Patzelt LH, VanOtteren GM (2013) Too sick not to exercise: using a 6-week, home-based exercise intervention for cancer-related fatigue self-management for postsurgical non-small cell lung cancer patients. Cancer Nurs 36:175–188. https://doi.org/10.1097/NCC.0b013e31826c7763 CrossRefPubMedGoogle Scholar